Healthcare Provider Details

I. General information

NPI: 1295684645
Provider Name (Legal Business Name): DARCIE KATNIK NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2026
Last Update Date: 04/12/2026
Certification Date: 04/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

795 E 2ND ST
POMONA CA
91766-2007
US

IV. Provider business mailing address

250 N COLLEGE PARK DR APT S36
UPLAND CA
91786-8893
US

V. Phone/Fax

Practice location:
  • Phone: 909-865-2565
  • Fax: 909-865-2955
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95038284
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: